Charge Auditor - Part Time

Department:

37700 Advocate Condell Medical Center - Administration: Surgery

Status:

Part time

Benefits Eligible:

Yes

Hours Per Week:

20

Schedule Details/Additional Information:

2-3 shifts per week with rotating days

No Weekends

No Holidays

Pay Range

$23.65 - $35.50

Scheduled Hours: Part Time, Day Shift 2-3 shifts per week with rotating Fridays ( 10 hour shifts except for week when you work Friday 8-8-4). No weekends or holidays

Education/Experience Required:

• High School Diploma
• 5 years’ experience in operating room/procedural area or billing experience with procedural product knowledge or substitute relevant experience.

Knowledge, Skills & Abilities Required:

• Self-directed, minimal supervision required.
• Good communication skills.
• Working knowledge of EMR charge capture.
• Computer skills.
• Data entry skills. Knowledge of Microsoft Windows.

Major Responsibilities:

• Responsible to the Department, Director, Department Heads and Business Manager in ensuring all appropriate patient charges are accurately processed using a working knowledge of the EMR System

  o     Ensures that patient billing for all procedures are accurate and processed within three business days.

  o     Monitors and enters all implant billing to assure accurate patient charges.

  o     Assist in developing and maintaining all supply charges in coordination with Materials Manager, Business Manager, and the EMR Information Systems.

  o     Patient chart auditing for correct documentation and charge entry.

• Knowledge and Maintenance of EMR including compliance from a regulatory billing perspective.

  o     Obtain and maintain an excellent working knowledge of the EMR

  o     Obtain and maintain knowledge of the systems reporting capabilities for running reports as required and/or requested including the ability to run non-standard reports.

• Provide proactive audits of the EMR.

  o     Completes audits focusing on charge capture and compliance as well as revenue opportunities.

  o     Coordinates collaboration with Clinical Managers and Leadership to assure staff compliance with identified patient charting discrepancies.

  o     Reviews free text items with Clinical Manager and Leadership to increase nursing charting compliance and accurate billing on an ongoing basis.

• Collaborates with Patient Accounts to maintain working knowledge of CPT, APC’s and pass-through codes

  o     Knowledge is maintained and kept current to any and all changes and/or updates

  o     Assure compliance with all Medicare policies, procedures and regulations

• Other duties as assigned

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Physical Requirements and Working Conditions:

• Excellent interpersonal skills
• Ability to communicate with surgeons, office personnel, nursing personnel
• Analytical and problem-solving skills
• Ability to handle multiple tasks and complete work within short timeframes
• Self-motivated – requires minimal supervision
• Ability to transcribe medical information

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

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